Hi everybody! My name is Pucker and I’m 10 years old. I have a really interesting story to share about a recent illness that I got. Lucky for me my mom brought me to the Care Center where I was successfully treated for a pretty unusual condition. Believe me…it wasn’t an easy journey but I had the skills of NUMEROUS specialists and 24 hour care in the ICU that made it possible for me to go home to my family.
My journey began back in early October when my mom noticed I was drinking a lot of water and my appetite wasn’t very good. Then one morning we woke up and the right side of my face was paralyzed! My mom took me to a different emergency clinic and they weren’t sure what was wrong with me, so they sent me home with some antibiotics. I saw my family vet the next day and they found out I had diabetes! This means my blood sugar was too high, so I was started on injections of insulin. One week later my vet found out that I wasn’t responding good enough and my diabetes had gotten worse. I was now diagnosed with diabetic ketoacidosis (DKA). This is a very severe form of diabetes and makes animals (and people) really really sick. On top of that, I also had pancreatitis!
Even though my family vet had treated me appropriately for diabetes, my body kept getting sicker. Because of this, they decided to send me to the Care Center so that I could see an internal medicine specialist and have nursing care around the clock.
Once I came to the Care Center I had an ultrasound performed of my abdomen. The internist also found that my mammary glands were abnormal and was concerned, it was an infection or cancer. My ultrasound showed numerous subtle abnormalities, but they didn’t find signs of cancer, which obviously we were really happy about! Small tissue samples were collected from my mammary gland and sent out to a laboratory to make sure there was no cancer.
While these tests were pending, I was started on the typical treatment for DKA, which involves lots of IV fluids and a constant infusion of insulin to try to bring my blood sugar down to normal levels. Well, since nothing about my illness was “typical,” I of course did not respond to the insulin infusion like expected. The doctors had to give me HUGE amounts of insulin to bring my blood sugar down but my numbers still barely budged. Unfortunately I also kept getting sicker and my doctors were really worried that I wasn’t going to survive.
Since I still wasn’t responding, they decided that there must be something else going on in my body causing it to not respond to the insulin (called insulin resistance). With me, there were a couple of possible causes for insulin resistance. The most likely culprit was that I was never spayed. The normal female hormones that are produced by the ovaries can make it harder for the body to respond to insulin and can make management of diabetes very difficult. For those of you out there that are mothers, it’s similar to gestational diabetes that women can develop with a few little variations. The other possible cause for my insulin resistance was the swelling in my mammary glands, regardless of whether it was caused by an infection or cancer.
Since I continued getting sicker despite all of my aggressive treatments, my doctor consulted with the other specialists in the hospital including the critical care specialist and the surgeon who all decided that the next step would be surgery to remove my ovaries, uterus, and also remove at least some of my abnormal mammary glands. Their hope was that once my hormones were gone, my body would then be able to respond more normally to the insulin and I would start to feel better. Surgery was definitely a risk with me being so sick, but there really wasn’t any other option.
So into surgery I went. My uterus and ovaries were removed (typical spay procedure) and one of my abnormal mammary glands was removed. The surgeon also thought my liver looked funny so she took some larger biopsies while she was in my abdomen. I did pretty well in surgery and recovered with no problems.
Over the next couple of days I remained in the hospital and continued my previous treatments for DKA. Luckily I started to improve within those 48 hours and I FINALLY felt good enough to eat again (first time in almost a week!). My blood sugars finally started to improve to the relief of all of my doctors! The rest of my bloodwork also started improving with resolution of my DKA and improvement in my kidney values (I forgot to tell you before that my kidneys also started to fail…yeah, told ya I was REALLY sick!).
Once I started getting better I never looked back! Three days after my surgery and one whole week after I came to the Care Center I was finally discharged and able to go home. I can’t even tell you how good it was to be back home!!
My biopsy results came back a few days later and can you believe it?? EVERYTHING was benign, which means no cancer for me! A little over one week after going home I had my first re-check exam with my internist to see how well my diabetes was responding to my new insulin dose and to make sure my kidneys had recovered. Again…all good news! My blood sugars were actually on the low side now, my kidney values were completely normal and my anemia was improving!
Since my blood sugars were a little on the low side, Dr. Doyle recommended that my mom decrease my insulin dose and also asked her to start measuring how much sugar was in my urine at home (this is easier than it sounds…they actually make little strips that you can buy at the store). If my urine never has any sugar in it, it could mean that my insulin dose was still too high. My mom checked my urine at home for the next couple of days and, surprisingly, she NEVER found sugar! Now Dr. Doyle told my mom to stop the insulin completely and keep checking my urine.
Guess what??? My diabetes went away and I now don’t need ANY insulin!! So as it turns out, the hormones that were made in my ovaries were likely the cause of my diabetes and severe illness in the first place. From what I’ve learned from my doctors, this isn’t a very common problem in dogs but it is one of the few things that can cause diabetes to develop and then go away once an animal is spayed.
Luckily for me, my mom and doctors never gave up on me and now I’ve made an almost complete recovery (my eye is still a little droopy but it just gives me character!) From the looks of things, there’s a pretty good chance I’ll be around to grow old with my mom and I couldn’t be any happier about that!